HomeMy WebLinkAbout0022.79 Application,..
APP�`aved b� State k3oard o[ Account,s
For Town of Carmel, �gsg
1'rrnzit No.
c::�xniz�., INU[:1V�� :�Ni� �MPROVEMENT LOCATIOk PERMIT "�`"
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i'his is to certify th:�t _
of . . .
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Kind.of Structure
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Name ot Applicant------ —`�— --
Address �� ` F , � '` f •� .- • ./ � has c�ualified
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hiaterial ---
____c��nsU•ncte<1 on tanel here described
�� Lots, Acr Description of Land �� -
����i ���•ciEx is acknowled�ed oE fees as follow ---- --
A�:�horized undcr Indiana Acts of March 12, 1935,
(This Permit is9ued subject to all local building restrictions as shown in
1`; � �I,f�
�•our abstract or purchase ayreement) `" ''
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-� , Building r' r (� . U �'__.
� � _ c + • : f Building Commissioner ' . ` �i
j r:Y�.; I:lectrical -
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Plumbing
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APPL_ICATION F'0:� I�;PROVL;iIENT LOCATI�N
P�_�:�ilT AND CERTIFICATi OF OCCUPANCY
B� i I der
Ow ner
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FEL: PAID �' �� S. C Z �
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n. .���,.:vi� �.viv.�li���,ilviv L, rn��.�t_,tvi. VJL� Vt� rttvrr,tt�lx
1. � Residential (One or two family) 1. C7�arm
2. p Residential (Multi-family) �. O Residential (One or two family)
3. ❑ Commercial 3. ❑ Commercial
4. p Industrial 4. p Industrial
B. TYPE OF SEPJAGE DISPOSAL 5• O Other-specify
1. O�ublic E. PROPO�ED USE OF PROPrRTY
2. p'Private (Septic tank, etc.)
1. (t�One or two famiiy dwelling
C. TYpF OF IAIPROVE��'IF'NT - 2. ❑ Multi-family
1. Q iVew structure 3. ❑ Commercial
2. O addition Porch Room 4. p Industrial
3. O Remodel 5. p Other-specify
4. ❑ Foundation only F. 70NING CLASSIFICATION OF PROPERTY
;. L7 Demolition Present �� Pro
b. ►] Accessory Building _ �/ posed � --;
"l. p Swimming Pool G. ESTIMATF COST OF COI�jSTR. NOT IN-
8. p Garage Detached Attached CLUDING LAND VALUE /,j'C=, t,;r';;_ �` '-
i r�ar�by certify that I have the authority to make the foregoing application,
that the application is correct, and that the construction will conform to the
regulations in the Building Code, the "Zoning Ordinance of Carmel, Indiana -
'196�," and amendments thereto, adopted under the authority of Chapter 174 oi'-the
Acts of 1947, t=eneral Assembly of the State cP lndiana, and all Ac�ts amendatory
thereto, or private building restrictions, if any, which may be imposed'�f�n the
above praperty by deed.
T further certify that no in,j�.�i�ious drainage of area or damage to public
prcperty will result'from th�s construction and site grading shall conform to
the subdivision deve)_a�ment plan as approved by Carmel-Clay Plan C;ommission,
if any. •
? further certify that`the coristruction will not be used or occupied until
proper certificates of compl'etior. and compliance �re filed with the Buil.ding
�ornmissioner's Office, Carmel, Indi_ana.
I further certizy that only kitchen, bath, laundry and flour drains are
connected to sanitary se��✓er.
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"ci�nature of �Owner.or`Authorized Agent Address City State Aate
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